Provider Updates

Provider News Tag: Reimbursement

Surgical Reimbursement 
Effective September 1, 2026, BCBSWY will continue implementing updated reimbursement rates for all physician‑provided surgical services. These changes are intended to further align surgical…
Claims Editing, Blue Circle of Excellence Designation & More
Coming Soon: Advanced Claims Editing Beginning in March of 2023, BCBSWY will be implementing advanced claims editing tools to ensure that claims are accurate…
Reimbursement & Directory Validation Update
Reimbursement Change Effective Oct. 1, BCBSWY will begin using J-code level pricing for J-1745 (infliximab). We will no longer be pricing this medication at…
Reimbursement Changes in July & Wellness Reminders
Lab and Pathology Reimbursements Change in July Effective July 1, 2022, Blue Cross Blue Shield of Wyoming (BCBSWY) will update its reimbursement for lab…
ASC Billing & Reimbursement Updates
ASC Billing & Reimbursement Changes Effective 6/1/2022 Effective 6/1/2022, BCBSWY will be updating its ASC reimbursement rates and rules. Updated ASC rates can be…
Over-The-Counter At-Home Covid-19 Tests Update
Over-the-Counter COVID-19 Tests The Biden administration on Jan.10 announced that starting Jan.15, 2022, commercial insurance companies and group health plans will be required to…

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